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Workers Compensation Medicare Seaside Arrangement (WC MSA) Reference Guide March 19, 2018 COBRQ12018v2.7WCMSA Reference GuideVersion HistoryVersion History VersionDateDescription of Changes1.003/01/2013Initial

How to fill out workers compensation medicare set-aside

How to fill out workers compensation medicare set-aside

1. Obtain all necessary medical documentation related to the work-related injury or illness.
2. Determine the Medicare Set-Aside (MSA) amount following the guidelines provided by the Centers for Medicare and Medicaid Services (CMS).
3. Allocate funds within the MSA specifically for future medical treatment related to the work injury.
4. Set up a separate account to hold the MSA funds for the injured worker.
5. Keep track of all medical expenses paid from the MSA account and ensure that only Medicare-covered expenses are paid.
6. Submit the proposed MSA to CMS for review and approval.
7. Upon approval, ensure that all future medical expenses related to the work injury are paid from the MSA account.
8. Regularly update CMS on the status of the MSA account and any changes in the injured worker's medical condition or treatment.

Who needs workers compensation medicare set-aside?

1. Workers who have settled or will be settling a workers' compensation claim that includes future medical expenses.
2. Individuals who are currently on Medicare or are reasonably expected to enroll in Medicare within 30 months of the settlement.
3. Employers or insurance carriers responsible for paying for the injured worker's future medical treatment expenses.

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What is workers compensation medicare set-aside?

Workers compensation medicare set-aside is a financial agreement that allocates a portion of a workers compensation settlement to pay for future medical expenses related to the injury.

Who is required to file workers compensation medicare set-aside?

Individuals receiving a workers compensation settlement who are also eligible for Medicare benefits.

How to fill out workers compensation medicare set-aside?

Fill out the necessary forms provided by the Centers for Medicare and Medicaid Services (CMS) and work with a professional administrator to establish the set-aside amount.

What is the purpose of workers compensation medicare set-aside?

The purpose of workers compensation medicare set-aside is to protect Medicare's interests by ensuring that future medical expenses related to the injury are covered by the settlement funds.

What information must be reported on workers compensation medicare set-aside?

Information such as the injured individual's name, date of birth, social security number, details of the injury, and the proposed set-aside amount.